Individual
JOY RENEE AUTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CLC
Contact information
Practice address
113 E MAIN ST, LEXINGTON, SC 29072-3449
(803) 704-4759
Mailing address
138 CADDIS CREEK RD, IRMO, SC 29063-8138
(803) 351-1107
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
255588
SC
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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